NPI age
16 years
Enumerated 2009-06-18
● Active Type 2 · Organization
St Paul Children'S Medical Corporation
St Paul Children'S Medical Corporation is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cohen
Director Of Clinic Operations
Last NPPES update
2025-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
16 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
132 S Horace Ave
Tyler, TX 757026159
Mailing address
132 S Horace Ave
Tyler, TX 757026159
Authorized official
Chelsea Cohen
Director Of Clinic Operations
📞 9038710939
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Justin Jones, DDS Dentist NPI 1912104464
- Jimmy Tompkins, DDS Dentist NPI 1457553596
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 203763201 | |
| 01 (TX) | G6063601 | DELTA DENTAL- CHIPS |
| 01 (TX) | 203763202 | MEDICAID-CSCHN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bethesda Pediatrics
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.